International Journal of Women's Health and Wellness is an international, open access, peer-reviewed journal that publishes information on all aspects of the science of women. The main objective of the journal is to set a forum for education, and exchange of opinions, and to promote research and publications globally. The Journal provides a platform for all clinicians, surgeons and health professionals to contribute their findings and help raise awareness among the community on women's healthcare including but not limited to gynecology, obstetrics, and breast cancer. We aim to publish the highest quality clinical content via open access platform providing the readers free, immediate and unlimited access.
International Journal of Women's Health and Wellness is an international, open journal which accelerates research updates on discovery and innovation in Obstetrics, Gynecology, Gametogenesis Fertilization, Implantation and Early development of Embryo, Normal Labour, Anatomical and Physiological Changes in Female Genital Tract during Pregnancy, Pharmacology of Drugs used during Pregnancy, Post-partum period, Development of Placenta, Amniotic Fluid, Anatomy of Fetus, Puerperium - Normal, Malpresentation & Malposition of Labour, Abnormal Puerperium, Hypertensive Disorders in Pregnancy, Physiology of Menstruation, Ovulation, Fertilization, Menopause, Endometriosis, Contraception, Cervical Cancer, Family Planning, etc. Manuscript in the form of such as Original Article, Reviews, Mini-Reviews, Short Communications, Case Reports, Perspectives/Opinions, Letters, Short Note, and Commentaries are accepted for publication. All articles published in the journal are subject to a rigorous peer review process. It encourages authors to publish their work in detail to disseminate the updated research findings.
Articles Search by Keyword | Journal title | Author name | DOI
Open Access DOI:10.23937/2474-1353/1510133
Jemila Nesro, Midhagsa Dhinsa and Melkamu Gelan
Article Type: Research Article | First Published: December 31, 2021
Around 303,000 women and adolescent girls pass on from pregnancy and childbirth-related complications in 2015 and 99% of these deaths occur in developing countries. That same year, 2.6 million babies were stillborn. Almost all of the maternal deaths (99%), child deaths (98%), Sixty percent of the stillbirths (1.46 million) occurred during the antepartum period and mainly due to untreated maternal infection, hypertension, and poor fetal growth and occurred in low- and middle-income countries. The...
Open Access DOI:10.23937/2474-1353/1510132
Noor Lyana Binti Musa and Azilzan Mat Enh
Article Type: Review Article | First Published: December 30, 2021
Sexually transmitted diseases are a common disease during the British era in the Straits Settlements (NNS) especially in Penang. Therefore, there are several questions that arise on how prostitution causes the transmission of this sexually transmitted disease. The purpose of writing this article is to study and find out the background of venereal diseases in the Straits Settlements and the causative factors of venereal disease transmission in Straits Settlements (NNS). The results showed that th...
Open Access DOI:10.23937/2474-1353/1510131
Asebe Awol Amado
Article Type: Research Article | First Published: December 26, 2021
This study aimed to assess, explore and gaining insight into women’s experiences of violence in their own words; both qualitative and quantitative approaches are used. Probability and non probability sampling strategies are employed. A total of 146 married women participated in the study. The finding of the study shows that the prevalence of domestic violence in the study area is high. The nature and type of violence are unique and spatial. Husband beating, forced marriage with unmatched age s...
Open Access DOI:10.23937/2474-1353/1510130
Tilahun Wodaynew and Dinkinesh Bekele
Article Type: Research Article | First Published: December 15, 2021
Population growth remains high in the group of 48 countries designated by the United Nations as the least developed countries (LDCs), of which 27 are in Africa. Ethiopia, the second most populous country in Africa, still has high fertility rate (4.6 children per woman) and fast population growth rate. Despite the enormous benefits of using modern contraceptive methods, the utilization of contraceptives remains low in Sub-Saharan Africa including Ethiopia. Many women in the postpartum period do n...
Open Access DOI:10.23937/2474-1353/1510129
Zerihun Asefa, Demisew Amenu, Aster Berhe, Muluneh Getachew and Feyissa Tolessa
Article Type: Research Article | First Published: December 04, 2021
Obstetric fistula is the most severe of pregnancy-related disabilities. While the condition has disappeared in developed countries, it remains a source of concern in Ethiopia and serves as a proxy indicator of the status of Ethiopian women and the availability and access to quality maternal health services. However, to our best knowledge, there was no evidence of the outcome of the fistula care project in the study setting. Therefore, this study aimed to evaluate the outcome of the fistula care ...
Open Access DOI:10.23937/2474-1353/1510128
Jinko Yokota, Michiko Nohara, Toshiko Kamo, Fumi Horiguchi and Keiko Uchida
Article Type: Original Article | First Published: December 01, 2021
To investigate relationship among PMS/PMDD and stress factors, menstrual distress, psychological distress, menstrual cycle and life habits in female medical student’s life. The authors conducted a survey among all students of a medical university in Tokyo between October 15 and 27, 2015, using anonymous self-administered questionnaires. The questionnaire assessed cognitions about 18 stress factors in student life, the premenstrual symptoms screening tool (PSST), menstrual-associated symptoms ...
Open Access DOI:10.23937/2474-1353/1510127
Dereje Tolesa, Netsanet Abera, Misganew Worku and Biresaw Wassihun
Article Type: Original Article | First Published: November 08, 2021
Maternal near miss refers to a very ill pregnant or delivered woman who nearly died but survived a complication during pregnancy, childbirth, or within 42 days of termination of pregnancy. It is an important public health problem in developing country including Ethiopia. To assess the prevalence and associated factors with maternal near-miss among pregnant women at Hawassa university’s comprehensive specialized hospital, 2020. Health facility-based cross-sectional study was done from May to Ju...
Open Access DOI:10.23937/2474-1353/1510126
Sara Nunes, Mariana Guimarães and Vitor Leal
Article Type: Case Report | First Published: October 11, 2021
Nontraumatic orbital hemorrhage is a rare complication after labor with only 12 cases reported in the literature. We describe a new case of a spontaneous, nontraumatic orbital hematoma after an uncomplicated vaginal delivery. A 34-year-old healthy woman, gesta2 para1, complains, after an uncomplicated, term, vaginal delivery, of left ocular pressure associated with double vision. On physical examination, an orbital asymmetry with left eye proptosis and inferior deviation was observed. Ophthalmol...
Open Access DOI:10.23937/2474-1353/1510125
Nancy L. Belcher, PhD., MPA
Article Type: Commentary | First Published: September 27, 2021
Menopause, and the phase that leads up to it, called perimenopause, are normal and natural events that can start anywhere between 35-55 years of age. Menopause and perimenopause are transition periods wherein the levels of estrogen, progesterone, and testosterone decrease. Replacing those lost hormones is easy with hormone replacement therapy (HRT). HRT in menopause has been proven the most effective treatment for many menopause symptoms. While there is no ‘treatment’ for menopause, there ar...
Open Access DOI:10.23937/2474-1353/1510124
Rhonda BeLue, Jeremy Green, Adaobi Anakwe and Mor Diaw4
Article Type: Original Research | First Published: September 17, 2021
Senegalese women of childbearing age continue to be disproportionately affected by communicable and noncommunicable disease, yet still face reduced health care access despite the expanding coverage of universal health insurance schemes. There is need to understand the role of women’s socio-demographic positioning and household decision-making autonomy on their health care insurance participation. We analyzed data of a representative sample from the 2016 Senegalese Demographic and Health Survey...
Open Access DOI:10.23937/2474-1353/1510123
Joao Victor Farias da Silva, MSc and Valdeci Elias dos Santos Jr, PhD
Article Type: Commentary | First Published: June 30, 2021
SARS-CoV-2, responsible for the outbreak of severe acute respiratory syndrome corona virus 2 and the current pandemic, is one of seven species of coronavirus that infect humans and is among the three that are potentially fatal. Its pathophysiology, although not fully understood, has been characterized by causing immunological imbalance, inflammatory storm, tissue damage with pulmonary impairment and potential dysfunction of multiple organs and disorders in the coagulation system. Even after the ...
Open Access DOI:10.23937/2474-1353/1510122
Azraa Jadwat, Uzma Bibi Bassa, Anastachia Rungusumy and Mahesh Shumsher Rughooputh
Article Type: Original Article | First Published: June 30, 2021
Menstruation is an important constituent of a female’s reproductive health and wellbeing. With the ease of access to information on the web and modern culture and practiced norms, the biopsychosocial aspects of menstrual health are changing. The objective of this study is to know the level of awareness of menstrual health among university students based in Mauritius and identify aspects that could be addressed to promote menstrual health. A randomized sample of 658 students (507 females, 151 m...
Open Access DOI:10.23937/2474-1353/1510120
Jennifer Huberty, PhD RYT, Mariah Sullivan, Jeni Green, MS, Anna M. Gorczyca, PhD, Jenn Leiferman, PhD and Kisti Fuller
Article Type: Research Article | First Published: June 24, 2021
No studies have described running behavior in pregnant women who self-identify as runners despite the benefits of moderate to vigorous activity during pregnancy. The purpose of this study was to learn more about behaviors, barriers, and advice health care providers (HCPs) offered regarding running during their pregnancy. The study was cross-sectional with national recruitment using internet-based strategies. Eligible women (N = 189) completed an online survey that assessed their health (i.e., he...
Open Access DOI:10.23937/2474-1353/1510119
Leigh Ann Richardson, MPH, Jessica LC Sapp DrPH and Jennifer L Sedillo, PhD
Article Type: Original Article | First Published: April 21, 2021
The aim of this study was to evaluate the use of Facebook ads for reaching women of reproductive and menopausal ages to promote specific nutrition and physical activity recommendations for pregnancy or menopause. This descriptive research study used Facebook ads and posts to deliver an online health campaign. The Healthy Adaptations for Life campaign was administered from October 2019 to November 2019. Four Facebook ads were delivered to three target audiences: 1) Women, 18 to 39 years old, loca...
Open Access DOI:10.23937/2474-1353/1510118
Leandro Cordero, MD, Michael R Stenger, MD, Mark B Landon, MD and Craig A Nankervis, MD
Article Type: Original Article | First Published: January 30, 2021
Chronic hypertension (CHTN) affects 1-1.5% of all pregnant women and approximately one third require antihypertensive medications (meds) before pregnancy or during the first 20 weeks of gestation. To determine breastfeeding (BF) initiation rates of women with CHTN and their association with pregestational body mass index (BMI kg/m2). Retrospective study of 111 women with CHTN requiring meds and 206 with CHTN not requiring medication (without meds) who delivered at ≥ 34 weeks of gestation. Inte...
Open Access DOI:10.23937/2474-1353/1510117
Toluwani Elizabeth Adekunle, Maysa Ahmed and Rima Afifi
Article Type: Original Article | First Published: January 30, 2021
This study aimed at assessing cervical cancer awareness and prevention among 21-65 year-old African immigrant women (AIW) in Iowa City, Iowa. Specifically, we queried about barriers and facilitators to the uptake of Papanicolaou screening, women’s knowledge of the Human Papilloma Virus (HPV), and acceptance of the HPV vaccine for their children. This was a qualitative study that included a total of 39 AIW. Twelve women were interviewed and 27 women participated in two FGDs. The FGDs included S...
Open Access DOI:10.23937/2474-1353/1510116
Susan Amin and Maha Al-Shammari
Article Type: Orginal Article | First Published: November 19, 2020
Previous international research shows severe vitamin deficiencies in people with hearing loss. Hearing loss is improved for many people when vitamins such as A, B, C, D, E and K are replaced. This was a cross sectional study involving 64 hearing students and 42 hard of hearing female students aged 18-21 in a university in Saudi Arabia. Food intake was assessed by a food frequency questionnaire. Vitamin levels were calculated for each food and compared to the recommended daily allowance (RDA) for...
Open Access DOI:10.23937/2474-1353/1510115
Leandro Cordero, MD, Michael R Stenger, MD, Mark B Landon, MD and Craig A Nankervis, MD
Article Type: Orginal Article | First Published: November 14, 2020
Timely delivery and magnesium sulfate (MgSO4) remain mainstays in the treatment of preeclampsia with severe features (PSF) which may be superimposed on preexisting conditions such as diabetes mellitus (PDM). Preeclampsia associated with premature delivery, severity of condition and mother-infant separation increase the risk of breastfeeding (BF) initiation failure. BF initiation rates for women with PDM were significantly lower than those for women with PSF alone. Although intention to BF was si...
Open Access DOI:10.23937/2474-1353/1510114
Leandro Cordero, MD, Michael R Stenger, MD, Mark B Landon, MD and Craig A Nankervis, MD
Article Type: Original Article | First Published: May 13, 2020
Interpregnancy intervals (IPI) have been related to adverse perinatal outcomes, however, correlation between IPI and BF initiation among women with pregestational diabetes (PGDM) have not been described. Among women with PGDM, short IPI is associated with exclusive BF at discharge while long IPI was associated with lower intention to BF, lower rate of exclusive BF and higher rate of FF at discharge. IPI outside recommended guidelines affect perinatal outcomes and increase the risk for BF initiat...
Open Access DOI:10.23937/2474-1353/1510113
John L Yovich, MD
Article Type: Commentary | First Published: April 08, 2020
A recent report analyzing the global burden of disease shows that the incidence and mortality from severe sepsis has continued to rise across the period 1990-2017. Although the burden is highest among low-income countries, there are more than 5 million deaths recorded annually in high-income countries and this burden is disproportionately high among young persons, being mostly from communicable infections. Despite residing in one of those high-income countries, I have witnessed severe morbiditie...
Open Access DOI:10.23937/2474-1353/1510112
Kulsoom Junejo, FRCS, FACS, FCPS, EBSQ-Breast and M Zafar Chawdhery, FRCS (Eng), FRCS (Ed), LLB (Hons)
Article Type: Mini Review | First Published: March 13, 2020
Cancer is a major public health problem worldwide that has now become the leading cause of death among adults aged 35-70 years causing twice as many deaths as cardiovascular disease. The incidence burden and mortality closely correlates with sociodemographic indices (SDI) levels and is highest in countries with higher SDI levels. Globally breast cancer remains the commonest type of cancer in women with an estimated 2.4 million new cases diagnosed per year, causing 523,000 deaths in women worldwi...
Open Access DOI:10.23937/2474-1353/1510111
Article Type: Original Research | First Published: March 06, 2020
This qualitative study was conducted with 16 health care providers working in different layers of maternal health care system in two purposefully selected research settings, Khorog town and Dushanbe, which have different social, economic and ethnic backgrounds in 2018. Semi-structured face-to-face interviews were conducted to gather the data. Duration of interviews ranged from 30-60 min. NVivo software for qualitative research was used to analyze the results....
Open Access DOI:10.23937/2474-1353/1510110
Hamutal Meiri, Nadav Kugler, Ran Svirsky, Oliver Kagan, Richard Nicolas Brown, Piere Miron, Antoni Borrell, Anna Gonce, Mar Bennasar, Annegret Geipel, Brigitte Strizek, Argyro Syngeleki, Kypros Nicolaides, Howard Cuckle and Ron Maymon
Article Type: Research Article | First Published: January 30, 2020
The prevalence of twin pregnancies is rising globally due to increased assisted conception and advanced maternal age in pregnancy. Twin pregnancies have 5-9 times higher frequencies of fetal chromosomal and structural abnormalities, often deliver preterm, and have high prevalence of gestational diabetes mellitus (GDM), preeclampsia (PE), and intrauterine growth restriction (IUGR) compared to singletons. Twins have special complications such as twins-to twin transfusion syndrome in mono chorionic...
Open Access DOI:10.23937/2474-1353/1510109
Yeliz KAYA, Coskun KAYA, MD and Pelin PALAS KARACA
Article Type: Original Articl e | First Published: December 07, 2019
A search for vaginismus was performed on YouTube in January 5, 2019. Two researchers watched and analyzed each video's overall information and scientific content and rated it as good, fair or poor as a co-decision. for their sources, suggestions and information contents (good, fair or poor). The study suggests that the videos at You- Tube could not be a reliable source of for patients with vaginismus. Health professions should be encouraged to upload more videos with good content and the patient...
Open Access DOI:10.23937/2474-1353/1510108
Mohamad K Ramadan, MBBCh-FACS, Bassam Sammak, MD, FRCR, Amani Mohsen, MD, Haneen Hijazi, MD and Dominique A Badr, MD
Article Type: Case Report | First Published: December 06, 2019
Fundal abnormally invasive placentae (AIP) rate is not precisely known, though, it is thought to be infrequent. Acute abdomen due to uterine rupture is an atypical and an extremely rare presentation. Hereby, we report the case of a 33-year-old G3P2002 who presented at 21-weeks with acute abdomen. CT-Scan and color-Doppler ultrasound showed massive hemoperitoneum with a fundal placenta actively bleeding into the abdominal cavity. At laparotomy, the uterus had a 3 cm dent in its left fundal area t...
Open Access DOI:10.23937/2474-1353/1510107
Mariam Barseghyan, MD, MS, Hayk Barseghyan, PhD, Gardenia E Nahigian, BA, Eric J Vilain, MD, PhD, Elena Sagayan, MD and Michael S Wilkes, MD, MPH, PhD
Article Type: Research Article | First Published: November 07, 2019
Study consisted of 173 female participants (medical personnel and general respondents) from villages of Armavir and Lori Marz in the Northern Armenia who completed confidential self-filled and validated surveys in Armenian. Questions covered demographics and addressed risk factors, symptoms, and modes of prevention of STIs and cervical cancer as well as contraceptive choices of women. Respondents’ answers were tabulated, and common themes identified. Comparison was made between general populat...
Open Access DOI:10.23937/2474-1353/1510106
Elenir Terezinha Rizzetti Anversa Daros dos Santos, Nicassia Cioquetta Lock, Sandra Trevisan Beck, Luciane Silva Ramos, Valeria Parecida da Rosa and Teresinha Heck Weiller
Article Type: Research Article | First Published: October 07, 2019
Congenital Syphilis (CS) is one of the most serious adverse outcomes in pregnancy, avoidable through early detection and treatment of the pregnant woman and her sexual partner. During this period, 128 cases of GS and 73 cases of CS were notified. The frequency of notifications during the studied period increased from 2.3% to 39.2% for GS and from 1% to 41% for CS. Only 23.4% of the pregnant women’s partners with GS were treated during antenatal care. Considering the number of GS and CS cases n...
Open Access DOI:10.23937/2474-1353/1510104
Smita Agarkar MD and Teresitta Velez BA
Article Type: Short Note | First Published: October 03, 2019
The importance of contraception education and family planning is often underestimated by physicians providing care to people with schizophrenia. When compared to the general population, women with schizophrenia tend to have a higher rate of lifetime sexual partners and low utilization of contraception. While women with schizophrenia have a comparable number of pregnancies to the general population, these pregnancies are significantly more likely to be unplanned and more importantly, unwanted. In...
Open Access DOI:10.23937/2474-1353/1510103
Ola Naiem Alfuqaha and Ruqayya Zeilani
Article Type: Research Article | First Published: September 26, 2019
Women have played a very important part in the labor force and the term “feminization” has become very common in workplace. In Jordan the latest figures of the Public Institution for Social Security for the year 2012 indicate that the proportion of women who were involved in the organization has been nearly 25% of all the organization participants, many factors influence the levels of women’s economic activity and which include both the legal frameworks and the socio-cultural perceptions (...
Open Access DOI:10.23937/2474-1353/1510101
Article Type: Research Article | First Published: August 31, 2019
We aimed to describe the behavior and perspective towards WTS among female Emirati college students and apply qualitative analysis to identify thematic influences that promote initiation and use. This study also explores attitudes towards the use of health-warning labels on tobacco products. The recordings of participants, were transcribed by a trained research assistant and cross-checked by a member of the research team. An initial transcript was coded around the main interview topics, and then...
Open Access DOI:10.23937/2474-1353/1510100
Biru Abdissa, Abayneh Aklilu, Endeshaw Admasu and Sagni Girma
Article Type: Research Article | First Published: July 22, 2019
Unsafe abortion was recognized problem worldwide which accounts 7.9% and 10% of all maternal mortality in the world and Ethiopia respectively. Nearly all unsafe abortions (98%) occur in developing countries. Even though the abortion penal code of Ethiopia was amended in 2005, to permit safe abortion under a set of some criteria, there is high number of unsafe abortion rate nationally (28/1000) and among University students (65/1000), from which only 50% was safe abortion which may be due to the ...
Open Access DOI:10.23937/2474-1353/1510099
D Dodero, F Frascani, M Angelucci, G Bernabei, E Merlo, F Locatelli, D Recalcati and F Murina
Article Type: Research Article | First Published: July 17, 2019
Vulvovaginal atrophy (VVA) is a condition afflicting more than 50% of women and nowadays has changed his name in Genitourinary syndrome of menopause (GSM) due to the multiple aspects involved having an adverse impact on quality of life. Many treatment are now available and laser represent a new powerful option. The aim of this work is assess the histological effect of a new type of non-ablative laser, Solid State Vaginal Laser (SSVL), on vaginal tissue in women treated for GSM....
Open Access DOI:10.23937/2474-1353/1510098
Ahmed Dahiru Balami, Salmiah Muhammad Said and NorAfiah Muhammad Zulkefli
Article Type: Review Article | First Published: July 03, 2019
Malaria remains highly endemic in sub-Saharan Africa, and about 25 million pregnancies are estimated to occur yearly in malaria-endemic regions of the sub-continent. Several interventions aimed at improving knowledge, attitude, and practice of malaria prevention, have been studied among different groups, only a few of which were among pregnant women. A systematic review of educational interventions in sub-Saharan Africa which included studies which focused on ITN, IPTp, home-based management and...
Open Access DOI:10.23937/2474-1353/1510097
Irene Gentile, MD, Roberto Rossini, MD, Marco Scioscia, MD, Davide Brunelli, MD, Marcello Ceccaroni, MD and Giacomo Ruffo, MD
Article Type: Original Article | First Published: June 01, 2019
Application of fast track protocols in laparoscopic colorectal surgery has been assessed in oncological cases with contrasting results. This study was to assess the feasibility and advantages in a group of young women suffering from bowel endometriosis. Over one year, 227 women were recruited for this prospective randomized study on fast track protocol for laparoscopic surgery for bowel endometriosis. Patients were allocated to a perioperative fast-track or conventional care in a 1:3 ratio and c...
Open Access DOI:10.23937/2474-1353/1510096
Shobana L Ramasamy and Sonia Chery MD
Article Type: Original Article | First Published: May 29, 2019
Leukorrhea, or vaginal discharge, is often a primary presenting symptom of sexually transmitted disease (STD) in women of rural Himalayan communities of India. Given the rising prevalence of leukorrhea in these communities, understanding the baseline knowledge and barriers to treatment among women and health-workers is imperative to improving awareness and implementing effective treatment....
Open Access DOI:10.23937/2474-1353/1510095
Kundu S, Kaukemueller L, von Kaisenberg C, Hillemanns P, Soergel P, Kuehnle E and Staboulidou I
Article Type: Original Article | First Published: May 06, 2019
The aim of this study was to describe the influence of maternal pregnancy body mass index (BMI) and maternal weight gain during pregnancy on perinatal and neonatal outcomes. Retrospective analysis of singleton pregnancies > 37 weeks of gestation delivered between 2004 and 2014. Fetal anomalies and intrauterine deaths have been excluded....
Open Access DOI:10.23937/2474-1353/1510094
Richard M Fleming, PhD, MD, JD, Matthew R. Fleming, BS, Tapan K Chaudhuri, MD, William C Dooley, MD and Andrew McKusick, BS Pharm
Article Type: Commentary | First Published: April 24, 2019
Prior to FMTVDM/BEST Imaging, diagnostic testing was limited to looking for breast cancer either using "qualitative" imaging defining disease as being present or absent, or semiquantitative methods which are also limited to the same yes you have breast cancer or no you don't interpretation. These imaging methods include mammography, ultrasound, CT, MRI, as well as other SPECT/Planar and PET imaging approaches and as such are associated with sensitivity and specificity problems. These tests are f...
Open Access DOI:10.23937/2474-1353/1510093
Richard M Fleming, PhD, MD, JD, Matthew R. Fleming, BS, Tapan K Chaudhuri, MD, William C Dooley, MD and Andrew McKusick, BS Pharm
Article Type: Commentary | First Published: April 10, 2019
Prior to FMTVDM/BEST Imaging, diagnostic testing was limited to looking for breast cancer either using "qualitative" imaging defining disease as either present or absent, or semiquantitative methods which is also limited to the same yes you have breast cancer or no you don’t interpretation. These imaging methods include mammography, ultrasound, CT, MRI, as well as other SPECT/Planar and PET imaging approaches and as such are associated with sensitivity and specificity problems. These tests are...
Open Access DOI:10.23937/2474-1353/1510092
Richard M Fleming, PhD, MD, JD, Matthew R Fleming, BS, Tapan K Chaudhuri, MD, William C Dooley, MD, and Andrew Mc Kusick, BS Pharm
Article Type: Commentary | First Published: April 08, 2019
Prior to FMTVDM/BEST Imaging, diagnostic testing was limited to looking for breast cancer either using "qualitative" imaging defining disease as either present or absent, or semiquantitative methods which is also limited to the same yes you have breast cancer or no you don't interpretation. These imaging methods include mammography, ultrasound, CT, MRI, as well as other SPECT/Planar and PET imaging approaches and as such are with associated sensitivity and specificity problems. These tests are f...
Open Access DOI:10.23937/2474-1353/1510091
Uwe Fischer, M Hollstein, S Luftner-Nagel, F Baum and S Wienbeck
Article Type: Original Article | First Published: April 04, 2019
Tumor size, the histology and immunhistochemical parameters as well as the lymph node status at the time of diagnosis have a relevant influence on the prognosis and the long time-survival of breast cancer. In this context, invasive carcinomas under 10 mm in size, which most often exhibit a N0-lymph node status, have an excellent 10-year-tumor-free survival rate of 98%. With respect to intraductal breast tumors, this rate increases to 100% if adequate therapy is performed. Self-examination and me...
Open Access DOI:10.23937/2474-1353/1510090
Shirley AA Beresford, Deborah J Bowen, Alyson J Littman, Denise L Albano, KC Gary Chan, Shelby L Langer, Wendy E Barrington and Donald L Patrick
Article Type: Research Article | First Published: February 28, 2019
Obesity rates differ between Hispanic and White (non-Hispanic) women in the United States, with higher rates among Hispanic women. Socioeconomic processes contribute to this disparity both at the individual and the environmental level. Understanding these complex relationships requires multilevel analyses within cohorts of women that have a shared environment. In population-based samples of Hispanic and White (non-Hispanic) women from the same neighborhoods, we evaluated within each ethnic group...
Open Access DOI:10.23937/2474-1353/1510089
Marte Myhre Reigstad and Ritsa Storeng
Article Type: Mini Review | First Published: February 22, 2019
It is estimated that, worldwide, over 8 million babies are born following infertility treatment with in vitro fertilization (IVF) since the birth of world's first IVF baby 40 years ago. Recent estimates suggest that by year 2100, 400 million individuals or 3% of the world population may be alive as a result of IVF and other fertility treatments. The developments within infertility treatment using techniques and procedures that evolved from initially animal and lately human research are enormous....
Open Access DOI:10.23937/2474-1353/1510088
Teklemariam Ergat Yarinbab, Wasihun Adraro Ambo, Tariku Regea and Addisu G/Mariam
Article Type: Research Article | First Published: January 04, 2019
Maternal satisfaction on institutional delivery service is the most frequently reported indicator in the evaluation of the quality of maternity services. While increasing service availability and maintaining acceptable quality standards, it is important to assess maternal satisfaction with care in order to make it more responsive and culturally acceptable, ultimately leading to enhanced utilization and improved outcomes. Maternal satisfaction determines the level of institutional delivery servic...
Open Access DOI:10.23937/2474-1353/1510087
William M McGarry and Sonya Bhole
Article Type: Review Article | First Published: January 03, 2019
Breast cancer is a heterogeneous disease, with many distinct subtypes having extremely different presentations, biological aggressiveness, and response to therapy. Triple-negative breast cancer is a subtype with significant clinical implications because of its poor prognosis and aggressive behavior. It has distinct imaging features, often presenting as a mass with typically benign features on mammography and ultrasound and more suspicious findings on magnetic resonance imaging. Triple-negative b...
Open Access DOI:10.23937/2474-1353/1510086
Tilahun Wodaynew, Bekana Fekecha and Biru Abdisa
Article Type: Original Article | First Published: December 13, 2018
Home delivery is childbirth in a non-clinical setting that takes place in residence than in health institution. Globally, every day more than 800 women died due to complications during pregnancy or childbirth. In Ethiopia, few are known about the factors that affect women's place of delivery after utilization of antenatal care service. Therefore, the aim of this study was to assess the magnitude of home delivery and associated factors among antenatal care booked mothers in Delanta district, Nort...
Open Access DOI:10.23937/2474-1353/1510085
Ana Flavia Bezerra da Silva, Thais Perez Leal, Amanda Torres Panta and Deborah de Melo Magalhaes Padilha
Article Type: Review Article | First Published: December 13, 2018
Cancer, also called malignant neoplasm, is a disorder which can be manifested in almost anywhere in the body as a result of errors in the cell cycle control machinery, resulting in the formation of tumors. Although the pursuit of a cure is still a top priority for cancer research, the concern about the side effects that the treatment of the disease can produce is an important factor that must be taken into account. One undesirable consequence is infertility, since patients are subordinate to the...
Open Access DOI:10.23937/2474-1353/1510084
Sarah L Bedell, Ashli A Lawson, William F Griffith and Claudia L Werner
Article Type: Original Article | First Published: November 30, 2018
We characterize the evaluation and initial management of patients with vulvar pruritus, including elements of history-taking, physical examination, laboratory testing, and treatments. We propose an algorithm for approaching this common clinical problem in a systematic way. A retrospective chart review of patients with vulvar pruritus who presented to Gynecology or Vulvology Clinic at Parkland Health and Hospital System in 2012 informed this descriptive study....
Open Access DOI:10.23937/2474-1353/1510083
Zeng Haoran, Li Xiang Ning and Swapna Boddu
Article Type: Review Article | First Published: November 24, 2018
Premenstrual syndrome (PMS) is a common disorder in adolescents in the reproductive age and share features with a number of psychiatric disorders. Moreover, it has a negative impact on emotions and their performances. Since many factors influence the development of this syndrome, we sought to examine and analyze the various social, behavioral, physical and psychological issues associated with PMS in this short review. Moreover, through this study, we recommend the need to have an effective healt...
Open Access DOI:10.23937/2474-1353/1510082
Simone De Carvalho and Jose Martins Filho
Article Type: Research Article | First Published: November 19, 2018
Data collection was realized through a questionnaire sent to participants via e-mail and recorded the interview. A total of 200 mothers from a virtual community in the social network participated in the research. The answers were transcribed using the Discourse of the Collective Subject method. The analysis was supported by the qualitative research perspective, from the Social Representation Theory. The following categories were obtained through data analysis: (1) Being prepared to discuss pedia...
Open Access DOI:10.23937/2474-1353/1510080
Staboulidou I, Beslic J, Kuehnle E, v Kaisenberg C, Hillemanns P and Schippert C
Article Type: Research Article | First Published: October 27, 2018
The aim was to compare the neonatal and maternal short-term outcome after an emergency caesarean to the outcome after an elective and after a second stage c-section. A possible impact of the weekday and time of the day as well as the incision-to-closure time within the overall collective and the decision-to-delivery time regarding emergency caesareans on neonatal and maternal outcomes was examined. In the majority of cases a decision-to-delivery time of 20 minutes in a clinic with Level I care i...
Open Access DOI:10.23937/2474-1353/1510079
Woolf Kapiteni, Celestin Mamba and Justin N Kadima
Article Type: Original Article | First Published: October 17, 2018
Maternal mortality is a major public health problem in the world and particularly in developing countries. Understanding the causes and responsibilities remain capital when action is needed by policymakers and practitioners or by caregivers. The objective was to analyze audit data reported on maternal deaths and highlight the major causes of mortality as well as responsibilities. We analyzed 48 cases of maternal deaths that were reported to the health information bureau of the province of North ...
Open Access DOI:10.23937/2474-1353/1510078
Fantaye Chemir, Melkamu Gelan and Makeda Sinaga
Article Type: Research Article | First Published: September 29, 2018
Postnatal care is a critical period for both mothers and newborns survival. But, post-natal care is yet neglected; little attention and an effort have been paid by health care providers and policy makers in developing countries. Post-natal care service utilization is still low and maternal mortality rate is high. However, studies on postnatal care service utilization and associated factors are lacking in the study setting. Therefore, the aim of this study is to assess postnatal care service util...
Open Access DOI:10.23937/2474-1353/1510077
Fatemeh Mousavi, Parisa Shojaei and Sam Homasan
Article Type: Original Article | First Published: September 29, 2018
The purpose of the present study was to investigate the frequency of getting such health screenings as breast self-examination among a group of women and to identify the role of health beliefs in predicting breast self-examination (BSE). The data were collected from a convenience sample of 225 women covered of the clinics in northwest of Tehran. The participants completed the demographic questions and Champion Health Beliefs Scale (CHBS) designed to measure patients' perception on breast self-ex...
Open Access DOI:10.23937/2474-1353/1510076
Fatemeh Mousavi, Parisa Shojaei and Hoda Aryan
Article Type: Original Research | First Published: August 24, 2018
The Pap smear is a reliable, inexpensive and effective screening test for cervical cancer; the second most common cancer among women worldwide. We aimed to determine women's knowledge, attitudes and practice towards Pap smear in women live at the northwest of Tehran city. This study, was carried out on 334 outpatient Iranian women in winter 2018. A questionnaire including demographic characteristics (10 questions), knowledge (10 questions), attitudes (5 questions) and practice (2 questions) towa...
Open Access DOI:10.23937/2474-1353/1510075
Eleonora Storti, Silvia Vaccari, Raffaele Bruno, Alba Ricchi, Jessica Buffagni and Isabella Neri
Article Type: Clinical Trial | First Published: August 18, 2018
The term puerperium is used to indicate a time span that varies from six to eight weeks after childbirth, necessary for the woman's body to return to the conditions it was in before the pregnancy. Independently of its actual duration, the puerperium is a very delicate phase of the woman's life, with possible physical and psychological implications. What characterises this period is also the experience of pain. It is therefore important that all health workers who follow the woman at this particu...
Open Access DOI:10.23937/2474-1353/1510074
Teklemariam Ergat Yarinbab, Nega Yimer Tawi, Israel Darkiab, Fikadu Debele and Wasihun Adraro Ambo
Article Type: Research Article | First Published: August 18, 2018
Risky sexual behavior is a behavior related to sexuality which increases the susceptibility of an individual to reproductive health problems like Sexually Transmitted Diseases (STIs), unwanted pregnancy, abortion and psychological distress. Young people's are at higher risk of practicing risky sexual behaviors due to their risk taking behavior. The rate of risky sexual behaviors is increasing in developing countries. Therefore, the aim of this study was to the determinants of risky sexual behavi...
Open Access DOI:10.23937/2474-1353/1510073
Nesreen AA Shehata, Ahmed E Arafa, Hamada A Abd El Wahed, Ashraf S Fahim and Gaber K Hussein
Article Type: Research Article | First Published: June 11, 2018
Dysmenorrhea is the most common gynaecological symptom among young women. It results in negative physical and psychological consequences. The aim of this study was to investigate the epidemiology of dysmenorrhea and detect the sources of knowledge about menstrual disorders among female students in Beni-Suef University, Egypt....
Open Access DOI:10.23937/2474-1353/1510072
Sahar H Abdulghani
Article Type: Case Report | First Published: June 06, 2018
Fetal intra-cranial hemorrhage (ICH) is a rare complication diagnosed during pregnancy with subsequent fetal neurological sequelae or death. Hemorrhage can occur anyplace in fetal cranium it can take within the subarachnoid, subdural, intraparenchymal place and Intra-ventricular hemorrhage (IVH), which considered the most identified hemorrhage prenatally....
Open Access DOI:10.23937/2474-1353/1510071
Petrus V van Deventer
Article Type: Short Commentary | First Published: May 24, 2018
The main disadvantage of using a silicone prosthesis would be the foreign body reaction, causing encapsulation of the prosthesis with connective tissue, which, in some instances can cause hardening and/or deformation of breast shape. Regardless of the type of prosthesis used, be it gel filled, saline filled, smooth or textured surface, capsular contraction can still occur. Four different grades can occur ranging from grade 1 (almost natural to touch) to grade 4 (a deformed, hard and painful brea...
Open Access DOI:10.23937/2474-1353/1510070
Masato Nishida, Yasuo Otsubo, Yuko Arai, Ryota Ichikawa, Yuzuru Kondo, Hiroya Itagaki and Miyako Sakanaka
Article Type: Research Article | First Published: May 19, 2018
The risk of uterine rupture is a major concern for women who become pregnant after undergoing an adenomyomectomy. The aim of this study was to investigate the mechanism of uterine rupture and improve the surgical procedure used for prevention....
Open Access DOI:10.23937/2474-1353/1510069
Kadriye Aldemir, Aysel Gurkan, Feride Taskin Yilmaz, Sevinc Kaymaz and Gulbahtiyar Demirel
Article Type: Research Article | First Published: May 12, 2018
Anxiety about the fibrocystic disease of breast and the formation of cancer can lead to some psychosocial and sexual health problems in women. In this context, this study was conducted to determine the level of depression and sexual life quality of women with fibrocystic disease of breast....
Open Access DOI:10.23937/2474-1353/1510068
Christy Costanian, Zeina Akiki, Zeinab Rabah, Safaa Daou and Shafika Assaad
Article Type: Research Article | First Published: April 21, 2018
This study aimed to estimate the prevalence and examine the characteristics of premenstrual syndrome (PMS) among female university students. It also aimed to determine the factors associated with the affective and somatic domains of PMS....
Open Access DOI:10.23937/2474-1353/1510067
Yasser Sabr and Sara W Yousef
Article Type: Case Report | First Published: April 16, 2018
Transabdominal placement of a cerclage at the cervicoisthmic junction appears to be a safe and effective procedure for reducing the incidence of spontaneous pregnancy loss in selected patients with cervical insufficiency, we reported a case series of two woman with different indications for abdominal cerclage. Case 1 is a 25-years-old woman gravida 2 para 0 abortus 1 known case of hypoplastic upper and lower vagina who had 2 vaginal repair (vaginostomy) and had abdominal cerclage for short cervi...
Open Access DOI:10.23937/2474-1353/1510066
Angela Huntsman, John K Parker and Geoff P Lovell
Article Type: Research Article | First Published: February 28, 2018
Exercise is widely accepted as an effective activity for alleviating the impact of psychosocial challenges associated with motherhood. However our current understanding of how to help mothers adhere to exercise and how it affects positive psychosocial outcomes is lacking....
Open Access DOI:10.23937/2474-1353/1510065
Omobolanle Omisade, Alice Good and Tineke Fitch
Article Type: Research Article | First Published: January 12, 2018
Recent research on providing support for women with postnatal depression indicates that many women poorly comply with treatment or show only moderate improvement in depression. This paper reviews evidence on the association between intervention delivery approach for postnatal depression and its subsequent adherence....
Open Access DOI:10.23937/2474-1353/1510064
Mary V Seeman
Article Type: Review Article | First Published: November 27, 2017
Breast cancer is an important cause of death in women with severe mental illness. Patient factors, provider factors, and social factors contribute to increased incidence and delayed diagnosis as well as delayed and substandard treatment in this population....
Open Access DOI:10.23937/2474-1353/1510063
Bing Li, Jiaqing Hao, Xiaofang Yan, Maiying Kong and Edward R Sauter
Article Type: Original Article | First Published: August 09, 2017
Adipocyte/Macrophage Fatty Acid Binding Protein (A-FABP) is linked to breast cancer. Proteins up regulated in breast cancer tissue are often increased in milk from women with and at increased risk of developing breast cancer. We measured A-FABP in human milk from 76 lactating women based on a) Phase of lactation...
Open Access DOI:10.23937/2474-1353/1510062
Henry Ofori Duah and Isaac Adisah-Atta
Article Type: Research Article | First Published: October 26, 2017
The important role of women's health care decision making autonomy in enhancing the well-being of women and their families cannot be undervalued. As such, this study sought to examine the determinants of health Care decision making autonomy among mothers of children less than five years in Ghana using the 2014 Ghana Demographic and Health Survey dataset....
Open Access DOI:10.23937/2474-1353/1510061
Monica Trapasso, Enrica Angeli, Paolo Verdecchia, Gianpaolo Reboldi and Fabio Angeli
Article Type: Review Article | First Published: October 13, 2017
Hypertension disorders complicate up to 10%-11% of all pregnancies and remain leading causes of poor outcome, including placental abruption, organ failure, cerebrovascular accident and disseminated intravascular coagulation. These disorders are also associated with increased risk of perinatal death, fetal intrauterine growth restriction, and prematurity/preterm delivery....
Open Access DOI:10.23937/2474-1353/1510060
Eduardo Gonzalez-Bosquet and Carlos Lozada
Article Type: Research Article | First Published: September 25, 2017
Case control retrospective study of 226 women treated of early endometrial cancer. 79 patients in the laparoscopy group and 147 in the laparotomy group. Variables analyzed in both groups were patient age, body mass index, duration of follow-up, FIGO 2009 surgical stage, tumor grade, histopathologic type, number of lymph nodes yielded, operating time, postoperative hospital admission, perioperative and postoperative complications, conversion to laparotomy, recurrence, and survival....
Open Access DOI:10.23937/2474-1353/1510059
RA Castillo-Reyther, SI Lara-Rodriguez, M Galarraga-Robledo, J Lumbreras-Marques, M Salas-Barraza, YI Hernandez-Rayon and F Vazquez-Alaniz
Article Type: Research Article | First Published: September 18, 2017
Pregnancy is a period of physiologic and physics changes in addition of cultural, social, religious and emotional influences. The type of violence during pregnancy period can be physical, sexual, emotional or psychological. ...
Open Access DOI:10.23937/2474-1353/1510058
Irene Podolak, Marion Birnstill, Karen Manson, and Gaurav Mehta
Article Type: Case Report | First Published: August 31, 2017
Health systems in the developed world are becoming unsustainable and health inequalities continue to widen around the globe. Applying asset-based approaches offers a new way of enhancing tangible and intangible collective attributes, such as: building capacity, strengthening resilience, and empowering individuals, communities and systems to promote women's and men's health and impact social change....
Open Access DOI:10.23937/2474-1353/1510057
Cynthia Pearl Pitter, Sandra Latibeaudiere, Tania Rae and Lorna Owens
Article Type: Opinion | First Published: August 18, 2017
Amidst advance action to increase positive pregnancy outcomes globally, sufficient focus and considerations have not being given to the human element, specifically the interpersonal relationships between care providers and the childbearing family. The attitude and behaviours of healthcare practitioners are critical to the overall delivery of quality maternity care and the mother's experience during childbirth....
Open Access DOI:10.23937/2474-1353/1510056
Resolution of Uterine Arterio-Venous Malformation Followed by Uneventful Pregnancy after Administration of Gonadotropin Releasing Hormone Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid
George A Vilos, Angelos G Vilos, Basim Abu Rafea, Ghadeer Al-Shaikh S, Yasser Sabr and Hazem Al-Mandeel
Article Type: Case Report | First Published: August 11, 2017
Uterine Arterio-Venous Malformations (AVM), also referred to as uterine vascular malformations, arteriovenous fistulae or shunts, consist of a cluster of abnormal interconnections between the arterial and venous system in an area of the endomyometrium. The vast majority of uterine AVMs are encountered in reproductive aged women following pregnancy, and they are thought to represent a delayed or failed resolution of the utero-placental bed and its vessels....
Open Access DOI:10.23937/2474-1353/1510055
Roney Cesar Signorini Filho, Leandro Freitas Colturato, Guilherme Bicudo Barbosa, Thaiane Silverio Fatibello Rosa and Luiz Henrique Gebrim
Article Type: Research Article | First Published: June 12, 2017
Cervical cancer is the third-leading cause of death from cancer in Brazilian female population. Treatment depends on the clinical stage of the disease according to the classification of the International Federation of Gynecology and Obstetrics (FIGO)....
Open Access DOI:10.23937/2474-1353/1510054
Lee Rose, Kumar Jessica, and Al-Nimr Amer
Article Type: Research Article | First Published: June 05, 2017
The UN Millennium Declaration in September 2000 was a milestone in history that marked a commitment of world leaders to a global partnership of time-bound targets for 2015 that became known as the Millennium Development Goals (MDG). MDG3 to promote gender equality and empower women included targets to eliminate gender disparities in the realms of education, employment, and government....
Open Access DOI:10.23937/2474-1353/1510053
K Keen, J Maples, B Cooley, A Olenick, M Blankenship, D Hoover and R Tinius
Article Type: Research Article | First Published: May 29, 2017
High-intensity exercise is safe and effective for low-risk pregnant women and their developing babies; however, little is known about the psychological effect of an acute bout of high-intensity exercise among pregnant women. The goal of this study is to examine maternal mood in response to an acute bout of high-intensity exercise....
Open Access DOI:10.23937/2474-1353/1510052
Ya Duan, Shan Kang, Jian Zhao and Zengjun Tang
Article Type: Case Report | First Published: May 24, 2017
Acute Intermittent Porphyria (AIP) is a metabolic disease caused by an inherited deﬁciency of heme biosynthesis. Acute attacks of AIP during pregnancy are very rare. However, it presents the obstetrician with challenging problems. Prompt diagnosis and early detection of the disease are crucial for the appropriate treatment and favorable prognosis....
Open Access DOI:10.23937/2474-1353/1510051
Nguefack Felicitee, Dongmo Roger, Djoumessap Djoyou Christine Marquise, Ourtchingh Clovis, Neh Flora, Dongmo sylvestre, Nana Njotang Philip, Ntsama Junie Annick and Tatah Sandra
Article Type: Original Research | First Published: April 15, 2017
More than half (58.6%) of the staff interviewed were nursing assistants. The EOK for deliveries do not contain non-sterile examination gloves, while those for cesarean sections do not have analgesics. However, most staff (72.8%) declared the delivery kit was complete; just as 74.1% declared the cesarean sections kit was complete....
Open Access DOI:10.23937/2474-1353/1510050
Flavia Francoso Genovesi, Rosangela Aparecida Pimenta Ferrari, Sandra Mara Maciel, Jose Carlos Dalmas, Alexandrina Aparecida Maciel Cardelli and Debora Fernanda Vicentini Bauer
Article Type: Original Article | First Published: April 13, 2017
There was a statistical association was found between age group (p < 0.0001), schooling (p < 0.0001) and parity. Primiparity among young women (78.3%) and schooling ≥ 8 years (85.3%), having a partner (p = 0.039), paid occupation (42.5%) and upper and middle classes (22%). Almost all women from both groups had exclusively breastfed in the maternity hospital (p = 0.071)....
Open Access DOI:10.23937/2474-1353/1510049
Chatura Nagaradona and Martin S Forde
Article Type: Original Article | First Published: March 30, 2017
Unsafe abortions are performed in countries where abortions are illegal. Preventing unsafe abortions is one of the easiest ways to improve women's health. Gaining an understanding of the perceptions of physicians to illegal abortions can be used to recommend policy changes that can positively impact on women's health....
Open Access DOI:10.23937/2474-1353/1510048
Lindsay M Goad, Heather R Williams, Mackenzie S Treloar, Colleen K Stockdale and Abbey Hardy-Fairbanks
Article Type: Research Article | First Published: March 29, 2017
Short interpregnancy interval increases maternal and infant morbidity. Improved postpartum contraceptive education and planning may reduce these risks by allowing adequate birth spacing. However, the readiness and acceptance of women to discuss contraception plans during pregnancy is unknown....
Open Access DOI:10.23937/2474-1353/1510047
Dania Al-Jaroudi, Saadia Jamaat, Ouhoud Kaddour, Tariq Wani and Ahmed Al-Badr
Article Type: Research Article | First Published: March 20, 2017
The aim of this study is to investigate the presence of non-alcoholic fatty liver disease (NAFLD) in women with PCOS. A prospective study of 31 women with PCOS was observed at the Reproductive Endocrine and Infertility Medicine Department (REIMD) at Women's Specialized Hospital, King Fahad Medical City (KFMC) from April 2010 to August 2011....
Open Access DOI:10.23937/2474-1353/1510046
Adebola Adegboyega, Mollie Aleshire and Ana Maria Linares
Article Type: Review Article | First Published: February 22, 2017
Globally, 530,000 women per year are diagnosed with cervical cancer, and approximately 275,000 die from the disease. Routine cervical cancer screening may reduce the burden of cervical cancer morbidity and mortality through early detection and improved treatment outcome....
Open Access DOI:10.23937/2474-1353/1510045
Barbara G Silverman, Hoda Anton-Culver, Freddie Bray, Stevens Lisa, Eser Sultan, Nimri Omar, Pavlos Pavlou, Kevin Ward, Haris Charalambous, Anna Demetriou, Argyrios Ziogas, Ariana Znaor, Lital Keinan-Boker and Chang Jenny
Article Type: Research Article | First Published: February 20, 2017
Breast cancer is the most frequent cancer and the leading cause of cancer deaths in women worldwide. Regional comparisons of breast cancer incidence can shed light on population and health care factors that contribute to differences between countries. We surveyed breast cancer incidence in four population based cancer registries in the Middle East to identify factors associated with regional variations in breast cancer incidence....
Open Access DOI:10.23937/2474-1353/1510044
Francine Carla Cadona, Alencar Kolinski Machado, Marco Aurelio Echart Montano, Charles Elias Assmann and Ivana Beatrice Manica da Cruz
Article Type: Review Article | First Published: February 10, 2017
Cancer incidence and cancer-related deaths are dramaticallys rising worldwide. In women, current estimates show high incidence of breast cancer (BC). BC is considered the second most frequent cancer-related death causer in women worldwide, responsible for millions of deaths each year. However, BC early diagnosis improves treatment success and increase survival rates. Physical examination, mammography, ultrasound, magnetic resonance imaging are techniques that auxiliary BC diagnosis....
Open Access DOI:10.23937/2474-1353/1510043
Stephanie Rivera-Segarra, Lizzie Ramos-Tollinchi, Natalia Cardenas-Suarez and Josefina Romaguera
Article Type: Cross-sectional Descriptive Study | First Published: December 14, 2016
Pregnancies affected with neural tube defects (NTDs) are mostly associated to maternal deficiency of folic acid (FA). Although supplementation is recommended for all women of childbearing age, the incidence of NTDs in Puerto Rico has not shown a significant decrease....
Open Access DOI:10.23937/2474-1353/1510042
Muna M Baslaim, Iman H Baroum, Budoor A Salman, Basma S Baghlaf, Muayad A Al-Farsi and Nada M Ghouth
Article Type: Research Article | First Published: December 12, 2016
A national screening program for breast cancer in Saudi Arabia is well accepted by the society. Healthcare providers of all specialties need to be oriented with the importance of public awareness and the impact of screening. A well-structured screening program tailored to the local parameters may help discover breast cancer cases at an early stage. ...
Open Access DOI:10.23937/2474-1353/1510041
Zerf Mohammed, Mokkedes Moulay Idris, Hamek Bagdad, Houar Abelatif and Bengoua Ali
Article Type: Original Article | First Published: November 23, 2016
Body composition is one of the primary factor influence athlete's performance. Whereas several studies have reported that higher BMI is associated with reduced levels of physical performance, in addition, other results demonstrated that BMI is an accurate best tool to use as an indicator of body fatness in the general population where the relationship between BMI and physical performance has not been clarified....
Open Access DOI:10.23937/2474-1353/1510040
Aynur Mustafa, Zehra Bozdag, Neslihan Bayramoglu Tepe and Huseyin Caglayan Ozcan
Article Type: Case Report | First Published: November 16, 2016
Epignathus or oropharyngeal teratomas are extremely rare congenital neoplasms that arise from the oral cavity or pharynx. Teratomas commonly occur in sacrococcygeal region. However, less than 5% occur in the head and neck. Malignant teratomas account 5%-30% of all teratomas. We present an unusual case of immatureoropharyngeal teratoma that arises from sphenoid with intracranial extension, in a 22 weeks female fetus. There are many types of head and neck tumors, so we should always keep in mind e...
Open Access DOI:10.23937/2474-1353/1510039
Emelie Nilsson, Stina Olsson, Henrik Thorlacius and Salma Butt Tuna
Article Type: Research Article | First Published: October 10, 2016
Data was collected from Malmo Diet and Cancer Study, with baseline examinations between 1991 and 1996. Out of 17035 women who completed all study parts, 765 women with incident breast cancer were included in this study. Kaplan Meier and Cox Proportional Hazards analyses, with 95% confidence intervals (CI), were used to study OC in relation to breast cancer-specific and overall survival. All analyses were stratified on age at diagnosis....
Open Access DOI:10.23937/2474-1353/1510038
Ndiaye P, Niang K, Thiam O, Maro JP and Sambou A
Article Type: Original Article | First Published: October 03, 2016
The evaluation focused on the past 15 years. Interviews with key informants were conducted at three ministries (Health and Social Welfare, Interior, Armed Forces), the Executive Secretary of the National Council for Food Security, three UN agencies (WHO, UNICEF, UNFPA), and three health districts. The review analyzed nineteen national planning and/or programming documents....
Open Access DOI:10.23937/2474-1353/1510037
Faith Diorgu and Mary Steen
Article Type: Case Study Review | First Published: October 01, 2016
During a student nurse-midwives portfolio review in 2013, it was noted that a high proportion of women had a caesarean section and that all vaginal births were performed in a lithotomy position. The lithotomy birthing position is associated with increased risk of an episiotomy. This instigated the undertaking of a retrospective review of maternity case notes of 569 women, who gave birth at the two maternity hospitals in Port Harcourt, Nigeria in July, 2012....
Open Access DOI:10.23937/2474-1353/1510036
Rajan Paudel, Uma Shahi Thakuri, Mohan Paudel and Dilaram Acharya
Article Type: Original Article | First Published: September 24, 2016
Domestic violence has emerged as one of the global social and medical concerns, particularly in developing countries. It has affected women from all spheres of life. The consequences of domestic violence are well documented across the world; however, there is still scanty literature related to the domestic violence exploring its knowledge and experience among Nepalese women....
Open Access DOI:10.23937/2474-1353/1510035
Marcela Gurovich, Cristhel K Fagerstrom, Maria J Prieto and Hugo Sanchez
Article Type: Review Article | First Published: September 22, 2016
Urinary incontinence (UI) affects millions of people around the world and affects quality of life (QoL). Even though public exposure to this problem in recent years through commercial advertisements has facilitated women seeking care, the frequency is still low. Prevalence of the condition varies according to study participants and measurement of UI. The different methodologies used across studies accounts for some of the variation....
Open Access DOI:10.23937/2474-1353/1510034
Tracy L Onega, Julie E Weiss, M Scottie Eliassen, Jennifer A Alford-Teaster, Martha E Goodrich, Linda S Kennedy, Silvia Portillo, Marco Tulio Martinez Membreno, Roberto Armando Elvir Zelaya, Ana Barrientos, Mary D Chamberlin, Gregory J Tsongalis, Derek S Stenquist, Oscar Herrera, Miguel Angel Crespin, Camilo Mandujano, Rosario Lopez Madrid, Juan Fernando Paz, Heather B Steinmetz, Peace N Eneh and Suyapa Bejarano
Article Type: Original Research Article | First Published: September 12, 2016
Incidence of and mortality from cervical cancer can be reduced through education, prevention, and screening. Cervical cancer has the highest incidence of all female cancers in Honduras and is the leading cause of cancer deaths among Honduran women. We developed a survey to examine women's knowledge, barriers, and perceptions of cervical cancer among women attending a health fair (Jornada) in rural El Rosario, Honduras....
Open Access DOI:10.23937/2474-1353/1510033
Karin Weman Josefsson
Article Type: Short Communication | First Published: September 08, 2016
Regular physical activity and exercise bring about recognized health benefits and most Western countries have developed health recommendations, targeted information and programs to promote these behaviors. In spite of this, a large amount of the Western populations do not reach recommended levels of physical activity and exercise. Because people in general are most likely aware of these benefits, one way to understand the modest uptake would be to study motivational aspects of these behaviors......
Open Access DOI:10.23937/2474-1353/1510032
Allison M Gilbert, Jill A McDonald, Rebecca L Palacios, Ivan de la Rosa and Elynor Wilson
Article Type: Original Research Article | First Published: September 05, 2016
In the United States and Mexico, birth rates are higher along the US-Mexico border than in non-border areas. Socioeconomic and cultural factors have been studied in relation to fertility among US Hispanics, but study in the border region is limited. To better understand the complexity of fertility behavior along the border, we analyzed transcripts from previously conducted discussion groups that were broadly focused on reproductive health in the region....
Open Access DOI:10.23937/2474-1353/1510031
Leandro Cordero, Amneet Bajwa, Mona R Prasad, Reena Oza-Frank, Mark B Landon and Craig A Nankervis
Article Type: Research Article | First Published: August 23, 2016
Background: In the United States, at the time of discharge from the hospital, approximately 79% of the general maternal population started breastfeeding their infants. Less is known about breastfeeding among women with diverse high risk obstetrical (HROB) conditions, a group at high risk for low breastfeeding rates. Objective: To determine infant feeding preference and breastfeeding at the time of hospital discharge among HROB women who attended prenatal subspecialty clinics and delivered during...
Open Access DOI:10.23937/2474-1353/1510030
R Jared Weinfurtner and Jennifer Drukteinis
Article Type: Review Article | First Published: August 15, 2016
The utility of MRI in the detection of breast cancer has evolved over the last few decades. It is now the most sensitive imaging tool available for the diagnosis of invasive breast cancer. There are drawbacks however, namely increased cost in comparison to screening mammography and decreased specificity. Thus, it is important to tailor the use of breast MRI to specific screening populations in order to maximize the benefit to drawback ratio. In this review, the current evidence for screening MRI...
Open Access DOI:10.23937/2474-1353/1510029
Miguel Angel Acosta-Benito
Article Type: Case Report | First Published: August 10, 2016
A 75% of women will have at last one episode of vaginitis, which can become persistent in more than a half of them. Its symptoms are disturbing and carry a psychological charge for patients. Although it is frequently caused by bacterial vaginosis, vaginal candidiasis or trichomoniasis, there is other aetiology that must be taken into account, as noninfectious vaginitis and atrophic vaginitis. Desquamative inflammatory vaginitis is a disease of unknown origin that appears associated to intense va...
Open Access DOI:10.23937/2474-1353/1510028
Article Type: Short Commentary | First Published: July 21, 2016
Breast cancer is the second leading cause of death from cancer among American women, and approximately one out of every eight women will be diagnosed with breast cancer in her lifetime. Because screening mammography (periodic mammographic examination of both breasts in asymptomatic women to detect breast cancer) has been successful at reducing mortality from breast cancer by 30 to 40%, most medical organizations in the United States, have recommended yearly mammography starting at age 40 since t...
Open Access DOI:10.23937/2474-1353/1510027
Danielle Deboutte, Timothy O'Dempsey, Brian Faragher and Amuda Baba
Article Type: Research Article | First Published: July 20, 2016
Background: High user cost is a known barrier to emergency obstetric care for the poor, contributing to excessive maternal mortality. Financial concerns about seeking healthcare may be compounded by an underestimation of obstetric risk and the cost of losing a wife. Methods: Focus groups investigated the cost of marriage, obstetric care and maternal death in Bunia, Democratic Republic of the Congo in 2008....
Open Access DOI:10.23937/2474-1353/1510026
Sonia Guleria, Alexandra Jones, Lindsay Zimmerman, Kelly Stempinski and Ashlesha Patel
Article Type: Original Research | First Published: July 11, 2016
Completion of the three-dose human papillomavirus (HPV) vaccine series has been challenging and cost may play a role. The objectives of this study were 1) to evaluate vaccine completion rates after receipt of first dose and 2) to determine factors associated with vaccine completion among women presenting at an urban, public hospital, where the vaccine was provided free of charge....
Open Access DOI:10.23937/2474-1353/1510025
Bela Kudish and Alexander Geoffrey Anderson
Article Type: Commentary | First Published: June 27, 2016
Urinary incontinence affects millions of women worldwide and is as common as hypertension, depression, or diabetes, with the prevalence estimated between 10 and 77%. The urinary incontinence rates vary by race or ethnicity and by age. Among the various types of urinary incontinence, bothersome stress urinary incontinence is reported to occur in 15% of women, arising commonly after a vaginal delivery, with urge urinary incontinence/overactive bladder disease found in 11% and mixed urinary inconti...
Open Access DOI:10.23937/2474-1353/1510024
Samuel Kalibala, Erick Oweya and Lyson Phiri
Article Type: Research Article | First Published: June 25, 2016
In sub-Saharan Africa women have disproportionately higher HIV prevalence than men. This is in spite of the wide availability of HIV information, condoms and HIV testing services. UNAIDS has proposed that due to women's fear of stigma and rejection by their partners, women are not able to seek HIV testing and other HIV services. In order to inform targeted programming for women it is important to examine to what extent women in Africa have attained HIV information and positive attitudes and whet...
Open Access DOI:10.23937/2474-1353/1510023
Alexandre Laurent, Laurence Moine, Laurent Bedouet and Michel Wassef
Article Type: Short Review | First Published: June 15, 2016
Once fibroid ischemia is achieved by the blockade of the uterine arteries with particles, there is no longer the need for these particles which act as permanent foreign bodies in the uterus. They generate inflammation and will compromise the physiological adaptation of the uterine arteries during pregnancy. After having played their role, the particles have to disappear. The time for resorbable biomaterials has come. Promising degradable microspheres are being developed from various biomaterials...
Open Access DOI:10.23937/2474-1353/1510022
Robert L Reid and Bryden A Magee
Article Type: Review Article | First Published: June 04, 2016
When approaching a female patient with concerns about her reproductive health, it is important to first consider how a given hormonal test will guide diagnosis, impact treatment or define prognosis. Sometimes, the interpretation of hormone levels can cloud the clinical diagnosis. Careful consideration of the value and limitations of each test helps to streamline the path to diagnosis and the cost to the healthcare system. We review the utility of various hormone tests in the context of two cases...
Open Access DOI:10.23937/2474-1353/1510021
Tanya Lawlis and Maggie Jamieson
Article Type: Short Commentary | First Published: June 02, 2016
Women are at high risk of becoming food insecure. While emergency food relief assistance is available, an underlying clientele culture and stigma combined with entrenched societal power inequality and gender role identification create barriers for women to access safe and nutritious food. This commentary aims to discuss this issue and provide suggestions on what needs to be done to ensure that those at highest vulnerability are food secure....
Open Access DOI:10.23937/2474-1353/1510020
Parisa Ghafoorian and Hossein Hasanabadi
Article Type: Research Article | First Published: June 01, 2016
This was a quasi-experimental pre-post design with control and follow-up (45 days). Samples selected through purposive sampling method among one hundred fifty females (aged between 30-40 years old) complained their spouse infidelity in counseling clinics of Mashhad-Iran. Final samples comprised 30 female who were consented to participate in the study and replaced in control (N = 15) and intervention groups (N = 15) randomly. The Acceptance and Commitment Therapy included eight weekly sessions. T...
Open Access DOI:10.23937/2474-1353/1510019
Mauro Monteiro de Aguiar, Helena Juliana Nagy, Marianna Fernandes Miranda, Karina Sampaio Cavalcanti and Lorena Jackson
Article Type: Case Report | First Published: May 18, 2016
Adenomyosis consists in a benign gynecological condition that is characterized histologically by the presence of ectopic endometrial tissue in the myometrium. Clinically, it is characterized by dysmenorrhea and menorrhagia, dyspareunia, chronic pelvic pain and even infertility. The failure of clinical treatment requires hysterectomy. However, conservative surgery has been proposed as a feasible and safe option for treatment of adenomyosis, when dealing with young patients, in order to preserve t...
Open Access DOI:10.23937/2474-1353/1510018
Article Type: Short Commentary | First Published: March 25, 2016
The aim of this study was to examine stories of abandoned babies' news published in newspapers in Turkey. In this retrospective descriptive study, infant deaths and abuse stories in newspapers published as Turkish examined. In the 80 news published between 01.01.2013 and 31.12.2014, 88 babies reported. Twenty eight (31.82%) of these babies were abandoned. Of abandoned babies, 25 had died, 23 were newborn, and most of them were abandoned by unmarried mothers (n = 12) and unknown persons (n = 14) ...
Open Access DOI:10.23937/2474-1353/1510017
Evans Paul Kwame Ameade and Baba Sulemana Mohammed
Article Type: Original Research | First Published: March 23, 2016
Management of pain is optimized if the pain is assessed with the appropriate measuring tool. Verbal rating scale (VRS) and numerical rating scale (NRS) are pain assessment tools. This study was aimed at determining if there is a correlation between VRS and NRS in menstrual pain assessment and the cut-off point of VRS categories on the NRS....
Open Access DOI:10.23937/2474-1353/1510016
Kay Wilhelm, Inika Gillis and Gordon Parker
Article Type: Research Article | First Published: March 16, 2016
Early relationships formed between parent and child are thought to guide the child's feelings, thoughts and expectations in subsequent adult relationships. We examined the relationship between two four category models of perceptions of parenting and adult attachment style among a nonclinical cohort. Parenting style was assessed using the Parental Bonding Instrument (PBI) and adult attachment, using the Relationship Questionnaire (RQ)....
Open Access DOI:10.23937/2474-1353/1510015
Filio Degni, Brahima A. Diallo, Walid El Ansari, Reija Klemetti and Kathleen Valtonen
Article Type: Research Article | First Published: March 14, 2016
Mali is one of the West African nations facing public health challenges. The country ranks among the top 10 countries in which women face the highest risk of death during pregnancy and childbirth. Particularly during the armed conflict in 2012, in the northern regions of Mali, healthcare services were destroyed and afterwards the healthcare centers were no longer able to run in the normal way. Women's access to health services became a critical issue in those regions....
Open Access DOI:10.23937/2474-1353/1510014
Carla Dukas and Lou-Marie Kruger
Article Type: Original Article | First Published: February 29, 2016
In this feminist phenomenological study rich descriptions of the subjectively lived experience of depression, as recounted by ten low-income rural women themselves, were provided. Analysis of the data obtained through semi-structured interviews, highlighted that the depressed women in this community often articulated their psychological distress as bodily symptoms. Emotions of anger, anxiety and hopelessness were also more commonly experienced and expressed than sadness....
Open Access DOI:10.23937/2474-1353/1510013
G. M. A. Higginbottom, H. Vallianatos, J. Shankar, B Osswald and C. Davey
Article Type: Research Article | First Published: February 24, 2016
Food practices throughout the perinatal period have a profound influence on the health and wellbeing of a mother and her child. Following migration, pregnant immigrant women bring with them culturally-situated beliefs about appropriate eating behaviors, while simultaneously encountering new socio-cultural environments that can negatively affect their food choices. Research is needed to inform and improve the provision of culturally appropriate maternal nutritional and healthcare....
Open Access DOI:10.23937/2474-1353/1510012
Kolsoom Safary, Hamdia Mirkhan Ahmed and Lida Moghaddam-Banaem
Article Type: Original Article | First Published: February 24, 2016
Gestational diabetes mellitus (GDM) is deﬁned as any degree of glucose intolerance with onset or ﬁrst recognition during pregnancy. The prevalence may range from 1 to 14% of all pregnancies depending on the population studied and the diagnostic tests employed. The most common result of GDM is macrosomia, which increases in several adverse outcomes during birth, such as shoulder dystocia, perineal lacerations, blood loss, and increased caesarean birth....
Open Access DOI:10.23937/2474-1353/1510011
Omer Faruk Karatas, Ilknur Inegol Gumus, Omer Bayrak, Mehmet Erol Yildirim, Huseyin Badem and Ersin Cimentepe
Article Type: Case Report | First Published: January 26, 2016
In women, orgasm is defined as giving a feeling of happiness and fulfillment after sexual stimulation which is decreasing of vasocongestion; rhythmic contractions of uterus, anus and vagina muscles surrounding the pelvic region, also defined as a state of short term intense pleasure. Sexuality takes an important role and has an impact on the quality of life of the couples....
Open Access DOI:10.23937/2474-1353/1510010
C. Τsompos, C. Panoulis, K Τοutouzas, A. Triantafyllou, G. Ζografos and A. Papalois
Article Type: Research Article | First Published: January 25, 2016
Permanent or transient damage with serious implications on adjacent organs and certainly on patients' health may be due to tissue ischemia and reperfusion (IR). Important progress has been made regarding the usage of erythropoietin (Epo) Epoetin alfa [EPREX (151118) API] of Janssen-Cilag Pty Ltd with CAS Registry Number: 113427-24-0 which is human erythropoietin produced in cell culture using recombinant DNA technology, authorized by the European Medicines Agency on 28 August 2007....
Open Access DOI:10.23937/2474-1353/1510009
Dani Moffit, Tim Braun and Kurt Schiess
Article Type: Case Report | First Published: December 31, 2015
A 30-year old female recreational runner presented groin, hip adductors, rectus abdominis, and inguinal ligament pain. Previous history revealed the pain started three years prior, recently increasing with activities of daily living. After birth of her third child, pain increased so she could not perform daily tasks such as grocery shopping, and was unable to hold her children. Examination revealed normal gait, level iliac crests, and normal lumbar curve. Palpation revealed tenderness over her r...
Open Access DOI:10.23937/2474-1353/1510008
Yvonne Fontein-Kuipers, Evelien van Limbeek, Marlein Ausems, Raymond de Vries and Marianne Nieuwenhuijze
Article Type: Original Article | First Published: December 22, 2015
Maternal distress is a major concern for perinatal health. We define maternal distress as a spectrum consisting of a variety of psychological constructs that occur during the antenatal period. Maternal distress can be the result of pregnancy or birth or other non-pregnancy related experiences in a woman's past or present life. It varies in severity from stress, worry, and concerns to more serious feelings of unhappiness, anxiety and/or depression and disturbed psychological functioning. Maternal...
Open Access DOI:10.23937/2474-1353/1510007
Jenni Smit, Nzwakie Mosery, Lavanya Pillay, Mags Beksinska, Letitia Rambally-Greener, Cecilia Milford, Maggie Kilbourne-Brook and Patricia S. Coffey
Article Type: Original Article | First Published: December 22, 2015
Increasing access to underutilized family planning methods is of global concern. The United Nations Commission on Life-Saving Commodities identified the female condom (FC) as one of 13 essential and overlooked commodities. Male and female condoms are currently the only effective method of dual protection against unintended pregnancy and the transmission of sexually transmitted infections (STIs) including human immunodeficiency virus (HIV). A new design of female condom with special features to m...
Open Access DOI:10.23937/2474-1353/1510006
Harpriya Kaur, Delf Schmidt-Grimminger, Steven W Remmenga, Baojiang Chen, KM M Islam and Shinobu Watanabe-Galloway
Article Type: Original Research Article | First Published: December 8, 2015
Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Pregnant women are at higher risk of HPV infection because during pregnancy major physiological and immunological changes take place that modulate the functioning of the immune system and may cause changes in HPV replication. These changes may also make the clearance of HPV much more difficult. HPV infection can impair extra villious trophoblast invasion into the uterine wall by increasing the rate...
Open Access DOI:10.23937/2474-1353/1510005
Mary A Otoo, Kent Hoskins, Katherine C Brewer, Anna B Beckmeyer-Borowko, Caryn E Peterson and Charlotte E Joslin
Article Type: Short Communication | First Published: November 11, 2015
Non-Hispanic blacks (NHB) have poorer ovarian cancer survival rates than non-Hispanic whites (NHW). This difference is in part due to differences in treatment uptake. The objective of this study is to characterize racial differences in reasons for non-receipt of treatment among women diagnosed with epithelial ovarian cancer (OVCA) in the United States and Puerto Rico between 1998 and 2012....
Open Access DOI:10.23937/2474-1353/1510004
Gerald D. Coleman
Article Type: Review Article | First Published: November 02, 2015
This essay provides a brief and broad overview of rape, leading to a discussion of pregnancy after rape. This discussion focuses on myths and misinformation as well as research-based evidence pertaining to the likelihood of pregnancy occurring due to rape, perceptions of rape-related pregnancy, abortion following rape-related pregnancy, and perspectives on appropriate health care responses to pregnancy due to rape....
Open Access DOI:10.23937/2474-1353/1510003
Nathan Denlinger, Nicole Nolan, Kristin Bixel, Ritu Salani, Douglas Martin and Allison M. Quick
Article Type: Research Article | First Published: October 21, 2015
Retrospective analysis was performed on patients treated for cervical cancer at the Ohio State University Wexner Medical Center from 2000 to 2014. A total of 525 patients were identified and 52 of these patients received interstitial brachytherapy and were included in the analysis. All patients received external beam radiation. All patients were treated with low-dose-rate interstitial brachytherapy, except for one patient who was treated with high-dose-rate interstitial brachytherapy. Actuarial ...
Open Access DOI:10.23937/2474-1353/1510002
Prem B Bhandari
Article Type: Original Research Article | First Published: October 14, 2015
This paper investigates the influence of women's autonomy and husbands' roles in decision making on the utilization of antenatal care, a primary indicator of women's health and well-being. Using data on 4,018 Nepalese mothers who had at least one birth within the last 5 years, I employ multilevel logistic regression and find that women's autonomy in decision making significantly and positively contributed to antenatal care visits. Similarly, joint decision making by a couple also positively cont...
Open Access DOI:10.23937/2474-1353/1510001
Olga Grechukhina, Diana P. English, Wei Hong, Ravi Kaza and Elena Ratner
Article Type: Case Report | First Published: August 09, 2015
This is a case of a 39 year old gravida 4 para 2-0-1-2 patient who presented to the emergency room with 1 week history of worsening left sided abdominal pain associated with vaginal bleeding. She had a positive pregnancy test and transvaginal ultrasound demonstrated an 11x9x7cm retrouterine mass concerning for hemorrhagic debris but no adnexa were identified. Surgery was complicated by conversion from laparoscopy to low transverse laparotomy due to hemorrhage and severe adhesive disease. Both tu...
All articles are fully peer reviewed, free to access and can be downloaded from our ClinMed archive.
Contact our editorial office